Organization · Type 2 NPI

Source 1

Customized Equipment (DME) · Loveland, CO

NPI number 1063749265 Active

Practice location

1615 Foxtrail Dr Ste 190
Loveland, CO 80538-9087

Fax (303) 595-5262

Mailing address

3012 Mica Ct
Superior, CO 80027-4548

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200X4274647 (CO)

Customized Equipment (DME): Definition to come...

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About NPI 1063749265

Source 1's National Provider Identifier is 1063749265, issued on Nov 9, 2009. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Loveland, CO. The record was last updated on Nov 9, 2009.